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Phenotypic diversity associated with the mitochondrial m.8313G>A point mutation
Authors:Killian O'Rourke MRCPI  Mark R. Buddles PhD  Michael Farrell FRCPath  Rachel Howley BSc  Sunita Sukuraman MRCPI  Sean Connolly FRCPI  Douglass M. Turnbull FRCP  Michael Hutchinson FRCPI  Robert W. Taylor PhD
Affiliation:1. Department of Neurology, St. Vincent's University Hospital, Dublin 4, Ireland;2. Mitochondrial Research Group, Institute of Ageing and Health, Medical School, Newcastle University, UK;3. Department of Neuropathology, Beaumont Hospital, Dublin, Ireland
Abstract:We report the clinical, histochemical, and molecular genetic findings in a patient with progressive mitochondrial cytopathy due to the m.8313G>A point mutation in the mitochondrial tRNALys (MTTK) gene. The clinical features in this case are severe, including short stature, myopathy, peripheral neuropathy, and osteoporosis, while extensive analysis of maternal relatives indicate that the mutation has arisen de novo and was not maternally inherited. This report of a second case, together with single muscle fiber mutation analysis that shows clear segregation of mutation load with cytochrome c oxidase deficiency, confirms that the mutation is pathologic. Muscle Nerve, 2009
Keywords:mitochondrial myopathy  mitochondrial DNA  tRNA mutation  cytochrome c oxidase  single muscle fiber mutation analysis
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